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Wednesday, December 8, 2010

What Changes?

With great effort I’ve managed to read the eleven pages of “The Transformations Required in the Public Health System.” I have the impression that if we took out all the ideological apologies -- such as, “the direction of our glorious Party,” or this one, “the immense historic responsibility we have for the future of the fatherland” -- the text would only be three pages. Sadly, the ability to synthesize has never been a virtue of those who govern us.

To make matters worse, in the meat of it there’s not much there, other than a shifting and rearranging of equipment and personnel from here to there, the well-known and prioritized “internationalist” work, and a strange insinuation that there is a surplus of doctors -- I say it’s strange because it’s true but I didn’t expect them to say it. There is not a word that speaks specifically to a wage increase for workers in the Ministry of Health, much less any guarantees to citizens about the quality of the services. There is even a delirious expression (semantically and grammatically) about medical ethics: “The Medical Ethics Commission should not act as a court, but should think of itself as an ideological commission.” Can anyone imagine the practical significance of such a statement?

More of the same and yet they call it transformations. Sometimes I wonder if really -- even with the political will -- the government will manage to fix the debacle that has been steadily building in public health.

Why Octavo Cerco [Eighth Circle]?

This is an excerpt to a version of the song, Epitaph for Vladimir Visotski by Karsmarski Jacek (Polish dissident songwriter), which includes Ciro Diaz in his latest album, The Blue Slug, that I listened to compulsively for at least two months, especially on the street with my mp3 inherited from a friend who now has an I-pod.(Download the lyrics here)(Download the recording and album cover here)The song (in summary, which runs about ten minutes) is about a desperate artist going through the circles of hell in search of an answer or death, and at the end of his journey there is only loneliness and the weight of the supreme power above himself.So I found myself at times catching the bus across Havana at 12 noon in August under the perennial sunshine and with the distressing feeling of not going anywhere, or arriving too late, or going for pleasure ... I feel that I have already arrived at the eighth enclosure (this is the finale of the song) where there is nothing, and I feel useless and empty, and I look at people without faith who walk along the street and who have so much fear that they no longer know they're afraid, and who have seen so many Roundtables and so many news broadcasts that they no longer know what belongs to reality or just to the TV screen. They cannot discern that they no longer believe, but cannot disbelieve either, and just move along past me not going anywhere.